==Request Form==
First Name: Gary
Last Name: Roan
Email Address: groan@capeevansville.org
Phone Number: (812) 568-7843
Exam Name: HUD Counselor Certification
Exam Type: Online Exam
First preferred date: Sun, 02/18/2024
First preferred time: 9:45 am
Second preferred date: Mon, 02/19/2024
Second preferred time: 10:15 am
Third preferred date:
Third preferred time:
Accommodations requested for online exam:
- 1 hour of additional time
- Multiple breaks
- Other
Describe online accommodation(s): Calculator, pencil and paper
Reason for accommodation: Attention Deficit & Hyperactive Disorder (ADHD)
Upload documentation:
https://hudhousingcounselors.hud.gov//system/files/webform/ADHD%20Letter.pdf

The results of this submission may be viewed at:
https://hudhousingcounselors.hud.gov//node/19671/submission/3246